MEDICARE: SELENA ELANE SMITH RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WA2000X	Administrator Registered Nurse	200640147RN	OR

General Provider Information

NPI Number	:	1548106370
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SELENA ELANE SMITH RN

Provider Business Mailing Address
First Line	:	PO BOX 7798
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97708-7798
Country	:	US
Telephone Number	:	541-350-9921
Fax Number	:

Provider Business Practice Location Address
First Line	:	888 NW HILL ST STE 2
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-2942
Country	:	US
Telephone Number	:	541-350-9921
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

Similar Medicare Providers

1053336990 — LEE ANNE HELLESTO ANP
Practice Location Address:

888 NW HILL ST STE 3
BEND, OR
97703-2942

Practice Phone: 541-241-6181
Practice Fax:

1104751502 — SARAH JOANN ANDERSON
Practice Location Address:

65325 CLINE FALLS RD
BEND, OR
97703-8166

Practice Phone: 541-382-9410
Practice Fax:

1306771605 — SALLY DIANE DIGIROLAMO
Practice Location Address:

888 NW HILL ST STE 4
BEND, OR
97703-2972

Practice Phone: 818-207-0569
Practice Fax:

1386579472 — EMMA NEWTON
Practice Location Address:

760 NW HARRIMAN ST
BEND, OR
97703-2789

Practice Phone: 541-316-0266
Practice Fax:

1730711177 — MICHEAL HARRIS MA
Practice Location Address:

220 NW OREGON AVE STE 202
BEND, OR
97703-2745

Practice Phone: 541-846-8173
Practice Fax:

1083546055 — MIKAELA GRAHAM MCOUN
Practice Location Address:

2214 NE DIVISION ST STE 101
BEND, OR
97703-3551

Practice Phone: 541-241-3109
Practice Fax:

Directions to “ SELENA ELANE SMITH RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.